Active NPI
Happy Harbor Methodist Home, Inc.
- Skilled Nursing Facility
- La Porte, TX
National Provider Identifier
1386644201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 109624
- Legal business name
- HAPPY HARBOR METHODIST HOME, INC.
- Practice address
- 1106 Bayshore Dr
La Porte, TX 77571-5868 - Phone
- (281) 471-1210
- Fax
- (281) 867-9065
- NPI assigned
- Jul 21, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Richard M Berman
- Title
- Chief Financial Officer
- Phone
- (281) 363-2600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 109624 | TX | Primary |
Addresses
Primary practice location
1106 Bayshore Dr
La Porte, TX 77571-5868
Mailing address
1106 Bayshore Dr
La Porte, TX 77571-5868
Phone (281) 471-1210
Other names 1
- Happy Harbor
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121904000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1386644201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1106 BAYSHORE DR",
"city": "LA PORTE",
"state": "TX",
"postal_code": "775715868",
"telephone_number": "281-471-1210",
"fax_number": "281-867-9065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1106 BAYSHORE DR",
"city": "LA PORTE",
"state": "TX",
"postal_code": "775715868",
"telephone_number": "281-471-1210",
"fax_number": "281-867-9065"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAPPY HARBOR METHODIST HOME, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BERMAN",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "281-363-2600",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "TX",
"license": "109624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Happy Harbor",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in La Porte, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.